Morada Waxahachie Blog

What Is the Most Common Mental Illness in the Elderly?

Written by Morada Waxahachie | Jun 16, 2025 4:00:00 AM

A report released in 2024 showed that roughly 12.5% of older adults had suffered from a mental illness between 2021 and 2022. Older adult females were more likely to have a mental illness, while men were more likely to have a substance use disorder.

 

It's important to understand these mental struggles so that seniors in Waxahachie, TX, can get the help they need. As it is, it's difficult enough to get your older loved one to admit they have a problem.

 

But what is the most common mental illness in the elderly, and what are the symptoms to look out for?

 

Understanding Mental Health in Seniors

Mental health in seniors is a crucial component of overall well-being. It encompasses emotional, psychological, and social health. The natural changes associated with aging can often lead to emotional and psychological challenges in seniors.

 

Some emotional ups and downs are normal for older adults. However, persistent sadness or behavioral changes may indicate a more serious issue.

 

Unfortunately, symptoms may be misattributed to "normal aging" or dismissed as side effects of illnesses or medications. It's important to understand the mental health landscape so your loved one can get the help they need.

 

What Is the Most Common Mental Illness in the Elderly?

Both anxiety and depression are considered the two most common mental health disorders. Anxiety affects upwards of 14% of older adults. Meanwhile, depression has been found to affect upwards of 27% of them.

 

Something to consider is that many seniors often suffer in silence rather than seek help. There could be more of them with depression than has been documented.

 

Depression is common in the elderly for a few different reasons, including:

  • Loss and grief
  • Chronic illness or disability
  • Medications
  • Isolation
  • Cognitive decline

Not every senior can bounce back from something like the death of a spouse or family member. There are also ongoing issues like chronic illness or cognitive decline that make it difficult to feel happy and whole.

 

Recognizing Behavioral Changes in Aging

Recognizing behavioral changes is critical for early diagnosis and treatment. Depression in older adults often presents differently than it would in younger individuals. Seniors may not report feeling "sad" but instead may exhibit signs like:

  • Fatigue or loss of energy
  • Sleep disturbances
  • Loss of interest in activities they once enjoyed
  • Irritability or restlessness
  • Appetite changes or unexplained weight fluctuations
  • Difficulty concentrating or making decisions
  • Increased physical complaints
  • Withdrawal from social activities

In some cases, depression can manifest as confusion or memory issues. It's important not to confuse it with dementia or Alzheimer's disease.

 

Emotional Wellness in the Elderly

Emotional wellness is all about the presence of positive coping mechanisms, self-esteem, and a sense of purpose. Encouraging emotional well-being can help reduce the risk of depression and enhance overall quality of life.

 

Make sure that your senior loved ones stay socially connected with friends and family. Promote physical activity and mental stimulation, whether it's through various hobbies or games.

 

Provide a balanced diet to support both physical and mental health. Routine health check-ups can help monitor medications and identify any changes in mental health.

 

Supporting Elderly Loved Ones With Depression

Supporting a loved one with depression is a challenge. They may withdraw socially or refuse to share any serious thoughts or feelings.

 

Families can make a difference through some simple steps. Remember that this is a process, and you shouldn't expect immediate results.

 

Start a Conversation

Sometimes, a simple and compassionate conversation can open the door to healing. Ask your loved ones how they're feeling and listen without judgment. If they seem reluctant to talk, gently share your observations about behavioral changes you've noticed.

 

Encourage Professional Help

Depression is treatable, even in severe cases. Encourage your loved one to speak with their primary care physician, who may refer them to a mental health specialist. Treatment may involve therapy, medication, or a combination of both.

 

Try not to be too confrontational at this stage. You don't want to scare them off or make it sound like you're trying to control their life.

 

Monitor Medications

If your loved one is on multiple medications, review them with a healthcare provider. Some medications may contribute to depressive symptoms. They may also have negative interactions with others they're taking.

 

Medication adjustments can sometimes make a significant difference.

 

Promote Daily Structure

Helping seniors maintain a daily routine can improve mood and restore a sense of normalcy. Prioritize activities like:

  • Exercise
  • Regular meals
  • Scheduled social interaction

Avoid unnecessary changes if possible. Try to communicate with them about anything you need to adjust.

 

Offer Practical Help

Provide as much or as little help as your loved one needs and wants.

 

Small acts, like helping with errands or driving them to appointments, can make them feel cared for or less isolated. However, hiring a caregiver or housekeeper without their consent will feel like a major intrusion.

 

If a senior needs more help than you can provide, consider talking to them about moving into an assisted living community. Many of these communities provide opportunities for seniors to socialize and keep themselves busy.

 

When Depression Is Something More

In some cases, what appears to be depression might be a symptom of a bigger issue. Dementia, Parkinson's disease, and even thyroid disorders can present similarly to depression.

 

Professional evaluation is critical so diseases aren't overlooked or mistaken for something else. Depression in the elderly increases the risk of suicide, and it's a preventable issue.

 

If your loved one talks about death or expresses hopelessness, do not ignore these warning signs. Seek immediate help from a healthcare professional or crisis hotline.

 

Manage Depression in Older Adults

So, what is the most common mental illness in the elderly? The answer is depression, by far, but it's also a condition you can manage with a wide range of approaches. Recognizing the behavioral changes in aging can help older adults live happier, more fulfilling lives.

 

Morada Waxahachie is a senior living community located in the enchanting city of Waxahachie, TX, with affordable, small-town living. Residents can expect a community designed for accessibility and mobility, along with amenities such as restaurant-style dining and an on-site salon. Contact us today to learn more and schedule a tour.